DR. SANDRA WILSON (NPI# 1235348962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235348962 |
| Entity Type | Individual |
| Full Name | DR. SANDRA WILSON |
| Credential | DDS |
| Practice Address |
29 Black Coal Drive Fort Washakie WY 82514 |
| Mailing Address |
100 Cheyenne Avenue Lame Deer MT 59043-0070 |
| Practice Telephone | 3073327300 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5561 | OK | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Cheyenne Avenue, Lame Deer, MT 590430070 | 4064774464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842897 | Sandra D Wilson | Case Manager/Care Coordinator | 5461 Portman Dr, Noblesville, IN 46062-8225 | 2020-08-17 |
| 1265848469 | Sandra Wilson | Physical Therapist | 2899 5 Frks Trickum Rd, Lawrenceville, GA 30044-5803 | 2014-07-08 |
| 1356468441 | Sandra Baird Wilson | Nurse Practitioner | 2005 Prince Avenue, Athens, GA 30606 | 2007-03-23 |
| 1235262056 | Sandra Sloan Wilson | Physical Therapist | 13550 Jog Rd Ste 100, Delray Beach, FL 33446-3808 | 2007-03-13 |
| 1023168259 | Sandra A Wilson | Marriage & Family Therapist | 3617 Ricardo, Redding, CA 96002 | 2007-01-11 |
| 1134295876 | Sandra B Wilson | Nurse Practitioner | 189 Wheatly Road, Ahrc Nassau County, Brookville, NY 11545 | 2006-11-27 |
| 1174566814 | Sandra H. Wilson | Physical Therapist | 88 State Route 37, Unit 2, New Fairfield, CT 06812-5036 | 2006-06-13 |
| 1316906415 | Sandra J Wilson | Counselor | 304 W Collin Raye Dr, 103-a, De Queen, AR 71832-2013 | 2006-03-20 |
| 1619584752 | Sandra Lynn Wilson | Technician | 411 W Main St, Romney, WV 26757-1530 | 2020-09-23 |
| 1912569609 | Sandra Lynn Wilson | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2019-07-02 |
| Street Address |
29 BLACK COAL DRIVE |
| City | FORT WASHAKIE |
| State | WY |
| Zip Code | 82514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366097198 | Vanessa Sorrels | Pharmacist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2019-08-08 |
| 1730673823 | Darlene Lucy Kozlowski | Radiology | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2018-06-21 |
| 1780171298 | Kyle Baker | Physical Therapist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2018-04-19 |
| 1205235330 | David Thatch | Spec/Tech, Pathology | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2014-08-14 |
| 1821414475 | Garth Nelson Foster | Physical Therapist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2014-03-06 |
| 1205260502 | Jeremy C Norton | Nurse Practitioner | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2013-08-23 |
| 1710224837 | Julie Ann Smith | Technician, Pathology | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2013-01-09 |
| 1245501808 | Holly Ann Daverin | Dental Hygienist | 29 Black Coal Drive, Fort Washakie Dental Clinic, Fort Washakie, WY 82514-0128 | 2012-01-13 |
| 1689963233 | Becky Bappe | Spec/Tech, Pathology | 29 Black Coal Drive, Fort Washakie Health Center Lab, Fort Washakie, WY 82514 | 2011-04-05 |
| 1215233168 | Jill Renee Erickson | Dental Hygienist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2011-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527819 | Melissa Rose Pine | Registered Nurse | 29 Blackcole Road, Fort Washakie, WY 82514 | 2019-09-19 |
| 1982116794 | Madonna Lee Kienlen | Peer Specialist | 215 Ethete Road, Ft. Washakie, WY 82514 | 2017-11-02 |
| 1649789025 | Rebecca Charlene Willis | Technician, Other | Fort Washakie Healt Center Lab Ihs 29 Black Coal Drive, Fort Washakie, WY 82514 | 2017-09-28 |
| 1033553185 | Pauline Elizabeth Powers-peprah | Family Medicine | 29 Black Cole, Fort Washakie, WY 82514 | 2013-04-19 |
| 1528319373 | Amanda L Schultz | Licensed Practical Nurse | 110 Sharpnose Road, Fort Washakie, WY 82514 | 2012-09-19 |
| 1770898140 | Kelly Lynne Pretty Weasel | Clinic/Center | 29 Blackcole Dr, Fort Washakie, WY 82514 | 2010-08-10 |
| 1285950170 | Debra Kay Waters | Technician, Pathology | Black Coal Rd. Bldg. 29, Ft. Washakie, WY 82514 | 2010-04-16 |
| 1881919751 | Shoshone & Arapaho Tribal Substance Abuse Court | Clinic/Center | 215 Ethete Rd, Fort Washakie, WY 82514 | 2010-04-02 |
| 1770814253 | Christopher G Nelson | Spec/Tech, Pathology | 29 Black Coal Rd, Ft. Washakie, WY 82514 | 2010-01-22 |
| 1922339449 | Nina Williams | Spec/Tech, Pathology | Black Coal Rd Bldg 29, Ft Washakie, WY 82514 | 2010-01-22 |
| Find all providers in zip 82514 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528206414 | Andrew Foster Huff | Dentist | 29 Black Coal Dr, Fort Washakie, WY 82514 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297772 | Rory D Ashdown | Dentist | 3249 Sparks Rd, Cheyenne, WY 82001-6152 | 2020-05-22 |
| 1366098691 | Nolan Jeffres | Dentist | 1151 Gateway Blvd, Suite 102, Rock Springs, WY 82901 | 2019-08-13 |
| 1104487057 | Jacob Heath | Dentist | 2441 Foothill Blvd Ste 1171b, Rock Springs, WY 82901-5691 | 2019-06-21 |
| 1427571454 | Levi Pearce Brinkerhoff | Dentist | 2900 S Higley Blvd, Rawlins, WY 82301 | 2017-07-21 |
| 1518491877 | Wells Dentistry PC | Dentist | 1933 East A Street, Casper, WY 82601-2224 | 2017-04-13 |
| 1730561127 | Ashley Carol Chenoweth | Dentist | 1410 Lane 10, Powell, WY 82435-9458 | 2015-06-23 |
| 1427466903 | Raymond Allen Rawlings | Dentist | 2316 Dell Range Blvd Ste A, Cheyenne, WY 82009-5192 | 2014-07-28 |
| 1962818443 | Britton Michael Marsh | Dentist | 2017 Campbell Drive, Torrington, WY 82240 | 2014-07-07 |
| 1790191393 | Laci D. Rector | Dentist | 2910 Big Horn Ave Ste A, Cody, WY 82414-9365 | 2014-07-03 |
| 1306252184 | Adam M Milmont | Dentist | 3090 Talon Dr, Casper, WY 82604-3279 | 2014-07-01 |
| Find all providers with the same taxonomy | ||||
| City | FORT WASHAKIE |
| Zip Code | 82514 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.